Active NPI 1811959547 Individual Practitioner Male Practitioner

Jeffrey C Hughes , PA

Physician Assistant • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jeffrey Hughes, PA is a certified Physician Assistant practicing in Worcester, MA. With approximately 23 years of clinical experience since completing medical education in 2003, Jeffrey Hughes delivers high-quality medical care to the local community at 55 LAKE AVE N.

Jeffrey Hughes is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Otolaryngology

Worcester, MA 016550002

Telephone 5088564142

Fax 5088566703

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +12.6 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

426 Specialists

Practicing in Worcester, MA (4746 Statewide)

Telehealth Adoption Rate

15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (23 Years) 23 Yrs

Worcester Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	192	$211.00	$77.49
69210 Removal of impacted ear wax	214	153	$140.00	$40.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$305.00	$95.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	189	$211.00	$77.93
69210 Removal of impacted ear wax	237	172	$140.00	$41.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$305.00	$95.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$130.00	$49.35
31575 Diagnostic exam of voice box using a flexible endoscope	12	12	$335.00	$115.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	178	$211.00	$80.04
69210 Removal of impacted ear wax	190	149	$140.00	$41.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$303.43	$98.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$128.86	$50.30
30901 Simple control of nose bleed	13	13	$375.00	$145.67
36415 Insertion of needle into vein for collection of blood sample	12	12	$18.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	180	146	$140.00	$42.18
99213 Established patient office or other outpatient visit, typically 15 minutes	180	137	$211.00	$80.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$289.00	$99.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$125.00	$50.24
36415 Insertion of needle into vein for collection of blood sample	16	16	$18.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	141	$211.00	$66.19
69210 Removal of impacted ear wax	169	131	$140.00	$42.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$289.00	$91.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$118.00	$40.91
31575 Diagnostic exam of voice box using a flexible endoscope	20	19	$304.00	$111.87
36415 Insertion of needle into vein for collection of blood sample	12	12	$18.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	325	261	$211.00	$65.47
69210 Removal of impacted ear wax	217	169	$140.00	$42.33
31575 Diagnostic exam of voice box using a flexible endoscope	68	67	$304.00	$104.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$289.00	$91.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$118.00	$40.24
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$261.00	$89.23
36415 Insertion of needle into vein for collection of blood sample	17	17	$18.00	$2.94
92511 Exam of the nose and throat using an endoscope	13	13	$381.00	$100.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	223	$201.00	$64.78
69210 Removal of impacted ear wax	184	161	$120.00	$43.54
31575 Diagnostic exam of voice box using a flexible endoscope	63	59	$304.00	$100.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$275.00	$92.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$298.00	$95.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$112.00	$39.26
92511 Exam of the nose and throat using an endoscope	22	20	$381.00	$91.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$337.00	$120.60
36415 Insertion of needle into vein for collection of blood sample	15	15	$18.00	$2.94
31575 Diagnostic exam of voice box using a flexible endoscope	14	14	$304.00	$60.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	123	102	$221.00	$28.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$338.18	$66.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	54	$138.50	$22.13
99213 Established patient office or other outpatient visit, typically 15 minutes	47	47	$199.00	$44.37
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$227.63	$43.54
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$201.00	$64.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$369.83	$118.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$297.78	$68.26
31575 Diagnostic exam of voice box using a flexible endoscope	16	16	$448.63	$59.96

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA 1698

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

5 Neponset St, Worcesteer, MA 016062714

Phone: 5085952300

Reliant Medical Group Inc

123 Summer St, Worcester, MA 016081216

Phone: 5083635000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Elizabeth Dwyer , PA-C

Physician Assistant

NPI 1013493451

Physician Assistant (Certified)

Jeremiah Tracy

Otolaryngology

NPI 1215166889

Dr. Syed Kamil , MD

Otolaryngology

NPI 1427030840

Doctor of Medicine (M.D.)

Dr. Christopher Ito , MD

Otolaryngology

NPI 1487953907

Doctor of Medicine (M.D.)

Dr. Daniel Kim , MD

Otolaryngology

NPI 1528042231

Doctor of Medicine (M.D.)

Dr. Richard Gacek , MD

Otolaryngology

NPI 1639151756

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address July 14, 2017

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

📍

Updated Practice Location July 14, 2017

Registered at 55 LAKE AVE N, DEPARTMENT OF OTOLARYNGOLOGY, WORCESTER, MA 016550002 (Tel: 5088564142)

👤

Provider Name / Credentials Updated July 14, 2017

Recorded as JEFFREY HUGHES, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Physician Assistant (License #PA 1698 in MA)

✅

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2016

Registered at 55 LAKE AVE N, DEPARTMENT OF OTOLARYNGOLOGY, WORCESTER, MA 016550002 (Tel: 5088564142)

📍

Updated Business Mailing Address March 07, 2016

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated March 07, 2016

Recorded as JEFFREY HUGHES, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Physician Assistant (License #PA 1698 in MA)

🟢

Initial NPI Registration & Enumeration April 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811959547

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 06, 2006

Last Update: July 14, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.